orthopedics notes

Apr 16th, 2015
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Hand Deformities, Fractures,and palsyBy Adnan AL-MaaitahNOTE The following subjects are NOT mentioned in the guidelines Dupuytren contracture (slides 28-31) Hand fractures (32-45) Hand palsy (46-57) Sry, but I got the guidelines after finishing the seminar -Mallet deformity-Trigger Finger-Boutonniere Deformity-Swan Neck deformity-Dupuytren contractureMallet Finger Aka: baseball finger Deformity in which thefingertip is curled in andcannot straighten itself Due to injury toextensor digitoriumtendons at DIPJMallet Finger/CausesForced flexion of the fingerwhen finger is extended:. Sport Injury: Finger struck byvolleyball, basketball orbaseball when it is inextension. Other common mechanismsof injury include forcefullytucking in a bedspread orslipcover or pushing off asock with extended fingers.Mallet Finger/Presentation After DIPJ forced flexion: inability to actively extend the distaljoint, intact full passive extension Often injury is painless or nearly painless Dorsum of joint may be slightly tender and swollen Order X-ray to make sure there are no fracturesDespite active extension effort, the distalinterphalangeal joint of the index finger restsin flexion, characteristic of a mallet fingerThis x-ray depicts a large, dorsal-lip avulsionfracture from the distal phalanx, a bonymallet injury.Mallet Finger/Managment Mallet finger splint (610 weeks) Surgery: In ca

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